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Ace provided, list all employer-sponsored recreational activities and fitness programs for which the employee wishes to waive workers compensation coverage. Make a line through any blank spaces. The employee must sign and date this form to acknowledge agreement. The employer shall retain the original for his or her files and provide a copy to the employee. The employer should submit a copy to BWC only when an employee files a claim for an injury or occupational disease sustained i.

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Every Ohio employer is required to get workers' compensation insurance regardless of the number of employees. Sole-Proprietors and Partners are not required to cover themselves on workers' compensation, but they can elect to be covered.

BWC policy allows services rendered within 72 hours of the date of injury to be reimbursed even if the billed diagnosis is not an allowed code in the claim, or is on BWC's invalid code list.

In Ohio, workers' compensation coverage doesn't extend to independent contractors. That's true even if you're injured in the performance of your duties for the client company or on their property. But, that doesn't necessarily mean you have no recourse.

Once BWC processes a workers' compensation application, we issue a Certificate of Ohio Workers' Compensation (also called a certificate of coverage) from the effective date of coverage through the end of the policy year.

C-23 - Notice to Change Physician of Record: Injured workers should use this form to notify their managed care organization (MCO) of a change of physician. Injured workers must choose a physician who is BWC-certified.

U-117 - Notification of Policy Update: Employers should use this form to notify BWC of changes to the information on their Ohio workers' compensation policies (e.g., update business information, address/contact information, request to cancel elective coverage and request to cancel Ohio workers' compensation coverage).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232